Rush Medical Center Home Page Information for healthcare Professionals Rush University
FIND A DOCTOR
PATIENT & VISTOR SERVICES
HEALTH INFO
CLINICAL SERVICES
EVENTS & CLASSES
RUSH NEWS ROOM
CLINICAL TRIALS
RESEARCH AT RUSH
NURSING AT RUSH
WORK AT RUSH
GIVING TO RUSH

Rush Medical Laboratories
Click here to go back to the alphabetic listing.
CERNER / EPIC MNEMONIC / CPT CODE / CDM NUMBER / TEST INFORMATION / DAYS PERFORMED / TURNAROUND TIME / SPECIAL INSTRUCTIONS / CONTAINER TYPE / COLLECTION / SPECIMEN REQUIREMENTS / REJECTION CRITERIA / MINIMUM VOLUME / HANDLING INSTRUCTIONS / REFERENCE RANGE / METHODOLOGY / ADDITIONAL INFORMATION / TEST SYNONYM(S)

Sputum Culture, Routine (View in report form.)

CERNER / EPIC MNEMONIC: C SPUTUMGS
CPT CODE: 87070 (culture); 87205 (sceen); 87205 (Gram stain)
CDM NUMBER: 3421053; 3421059; 3421033
TEST INFORMATION: The test includes a screen for specimen acceptability with few exceptions. The exceptions include: bronchial specimens, specimens obtained from patients less than 6 years of age, and specimens from patients reported to the laboratory as having a diagnosis of cystic fibrosis. The test also includes a direct Gram stain, isolation and identification of microorganisms, and susceptibility testing, if appropriate.
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Gram stain: 2 hours after receipt of the specimen in the laboratory. Preliminary culture reports are available after 24 hours. Cultures with no growth or normal flora only will be finalized after 3 days. Cultures from patients reported to the laboratory as having a diagnosis of cystic fibrosis will be finalized after 7 days. Complete reports of cultures from which pathogens are isolated may take 3-10 days after receipt of the culture depending upon the nature of the microorganisms detected.
SPECIAL INSTRUCTIONS: The requisition MUST state if the patient has been diagnosed with cystic fibrosis. Patients known to be leukopenic should have this indicated on the requisition.
CONTAINER TYPE: Sterile sputum container; sterile Leuken`s tube; sealed, sterile container, no preservative.
COLLECTION: The sputum and Leuken`s specimens should be first morning specimens. Nonbacteriostatic saline should be used when irrigation is necessary.
SPECIMEN REQUIREMENTS: First morning sputum, induced sputum, aspirated sputum, tracheal aspirate, bronchial, Leuken`s, gastric aspirate
REJECTION CRITERIA: Inappropriate specimen container, insufficient specimen volume, specimen received in a preservative, specimen consisting of excessive oropharyngeal contamination as determined by sputum screen, specimen containing food particles. If the specimen is microscopically consistent with saliva, it will be rejected. Only one specimen will be accepted per day.
MINIMUM VOLUME: 2 mL
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, refrigerate.
REFERENCE RANGE: Normal upper respiratory flora
METHODOLOGY: Inoculation of conventional culture media.
ADDITIONAL INFORMATION: The quantity and presence of normal upper respiratory flora will be reported. Normal flora includes alpha and nonhemolytic streptococci, saprophytic Neisseria species, cogulase-negative Staphylococcus, Micrococcus species, and diphtheroids, Haemophilus spp. not influenzae, Candida spp. not cryptococcus. Potential pathogens will be isolated, identified, and susceptibility testing performed, if appropriate. Burkholderia cepacia is identified in the Clinical Microbiology Laboratory. The isolate will be forwarded to the CF Foundation reference laboratory for confirmation and genotyping. The culture report will not be finalized until the reference laboratory confirmation is complete.

Click here to go back to the alphabetic listing.



Tube Guide - Order of Draw
Lab Manual Index
About RML
Search
Testing Services
User Guide
Production Schedule
General Laboratory Information
Normal Ranges for Common Laboratory Tests
Critical Values
Neonatal Screening
Licensing Information
Departments
Staff Directory
Contact Us
    Find a Doctor | Patient & Visitor Services | Health Information
Clinical Services | Events & Classes | Rush News Room | Clinical Trials
Research At Rush | Nursing At Rush | Work At Rush
Disclaimer | Privacy Statement | Site Map

FOR RUSH EMPLOYEES

© Rush University Medical Center, Chicago, Illinois